| NPI | 1225091341 |
|---|---|
| Professional Name | MARY JEAN EAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 063187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA rn032537) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-08-08 |